Syphilis and the Monk

Foggy vision OU; Foreign body sensation OSA 47-year old male with foggy vision and foreign body sensation OS.VA: 16/15 OD, 16/200 OS declining to 20/800 OSCT; MRIBranching hyphae consistent with fungal infectionSurgery; Corticosteroids; Antifungal agents1. Levin LA, Avery R, Shore JW, Woog JJ, Baker AS. Surv Ophthalmol 1996;41:142-54. 2. Green WR, Font RL, Zimmerman LE. Aspergillus of the orbit. Arch Ophthalmol 1969;82:302-13. 3. Slavin ML. Primary Aspergillus of the orbital apex. Arch Ophthalmol 1991:109;1502-3. 4. Spoor TC, Hartel WC, Harding S, Kocher G. Aspergillus presenting as a corticosteroid responsive optic neuropathy. J Clin Neuro-ophthalmol 1982;2:103-7. 5. Case Records of the Massachusetts General Hospital. Weekly clinicopathologic exercises. Case 33-1991. A 74-year-old man with severe vascular disease, chronic lymphocytic leukemia, and loss of vision in the left eye. N Engl J Med 1991;325:494-504. 6. Townes DE. Orbital aspergilloma. Surv Ophthalmol 1967;12:337-43. 7. Weinstein JM, Sattler FA, Towfighi J, Sassani J, Page RP. Optic neuropathy and paratrigeminal syndrome due to Aspergillus fumigatus. Arch Neurol 1982;39:582-85. 8. Hutnik CML, Nicolle DA, Munoz DG. Orbital Aspergillosis: A fatal masquerader. J Neuro-Ophthalmol 1997;17:257-61. 9. Weinstein JM, Morris GL, Zurhein GM, Gentry LR. Posterior ischemic optic neuropathy due to Asperrgillus fumigatus. J Clin Neuro-ophthalmol 1989;9:7-13